China
Africa
Explore chapters and articles related to this topic
Trauma for staff
Published in Sheila Broderick, Ruth Cochrane, Trauma and Birth, 2020
Sheila Broderick, Ruth Cochrane
Years ago I was doing an elective CS list and one of the patients had opted to have a tubal ligation. It wasn’t until I saw her the next day on the post-op round that I remembered that I hadn’t tied her tubes. I apologised profusely and made arrangements for her to have a laparoscopic sterilisation on my elective gynaecology list six weeks later. She was very forgiving about my error but I learnt my lesson and vowed that I would never do it again. These days, with the WHO theatre checklist, everyone in the operating theatre knows what operation you’re planning, but I still ask the theatre staff to keep an eye on me and remind me if they think I might forget to do what I’m supposed to do.
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Several common surgical procedures are specific to the reproductive system, most notably those used for sterilization. In the female, infertility is induced permanently by tubal ligation, commonly called a "tubal" or "tying the tubes." With tubal ligation, the uterine tubes are constricted by the application of a ligature; additionally, the tubes are usually severed or crushed to prevent the restoration of fertility if the ligatures fail. In the male, vasectomy (removal of all or part of the ductus deferens) is used to induce sterility. Both tubal ligation and vasectomy are surgically reversible in certain instances.
Contraceptive Intervention
Published in Sujoy K. Guba, Bioengineering in Reproductive Medicine, 2020
Chemical methods either on oral administration or local vaginal application have long dominated the field of reversible contraception in the female. More recently, the intrauterine devices have gained popularity. In the sterilization area, the most widely practiced approach is tubal ligation by laparotomy and minilaparotomy. Very few contraceptive modes that may be considered as based upon physical sciences and bioengineering have been formulated. Some years ago, research offered the hope that improved means of temperature measurement and vaginal plethsymography, which is discussed in Chapter 2, would make ovulation detection reliable and convenient, and thereby make the rhythm method more acceptable. But the outcome of the research has not supported earlier expectations. Bioengineering, therefore, figures to some extent only in modifications of the routine surgical procedure for tubal ligation.
Reproductive health in adults with congenital heart disease: a review on fertility, sexual health, assisted reproductive technology and contraception
Published in Expert Review of Cardiovascular Therapy, 2023
J.A. van der Zande, G. Wander, K.P. Ramlakhan, J.W. Roos-Hesselink, M.R. Johnson
In choosing the most appropriate contraceptive method, multiple factors should be considered and the input of a cardiologist and obstetrician is recommended. In addition to considering the patient’s risk of cardiovascular complications during pregnancy and the relative or absolute contraindications of the different types of contraception, it is important to consider the patient’s personal preferences. In patients who do not desire a pregnancy or who have completed their families, permanent contraception, such as tubal ligation or vasectomy, can be considered. However, the age of the patient, social situation, and chance of regret should be discussed. For patients who prefer a non-hormonal contraceptive method, the copper-IUD, is an option but is associated with increased pain and menstrual flow. Alternatives, such as barrier methods, have a high failure rate, and as stated above, the consequences of pregnancy must be taken into account when deciding on the contraceptive method to be used.
The effect of different contraceptive methods on the vaginal microbiome
Published in Expert Review of Clinical Pharmacology, 2021
Carlo Bastianelli, Manuela Farris, Paola Bianchi, Giuseppe Benagiano
More than 15 years later Riggs et al [40] followed 3ʹ077 women during one year to determine whether contraception was associated with an increased prevalence of diagnosis of BV. There were six categories of users: COC (type not specified); hormonal injection or implant (also not specified); tubal ligation; condom (male or female); other methods (foam, jelly, cream, suppositories, vaginal sponge, diaphragm, IUD (presumably Cu-IUD), cervical cap, douching; or none (abstinence, vasectomy, withdrawal, rhythm, or natural family planning). Overall, BV prevalence decreased during COC medication (OR: 0.76; 95%CI: 0.63–0.90) and in users of hormonal injections/implants (OR: 0.64; 95%CI: 0.53–0.76). An increased risk for BV prevalence (OR: 1.38; 95%CI: 1.11–1.71) and incidence (OR: 1.43; 95%CI: 1.02–2.07) was observed among subjects who had tubal ligation. The study, once again, concluded that hormonal methods of contraception do not adversely affect vaginal eubiosis and may even improve the situation.
SCAD: a gendered cardiac threat
Published in Journal of Obstetrics and Gynaecology, 2020
Matteo De Martino, Abha Govind
Given the pathophysiological theory outlined above, contraception for these women means avoiding exogenous exposure to systemically absorbed hormones containing oestrogen and progesterone, such as the COCP/POP, progesterone implant or Depo injection. This would suggest the best options may be Vasectomy for their male partner, Copper IUD or tubal ligation, however each of these have their downsides. Vasectomy assumes a long-term partner which may not fit everyone within the typical SCAD demographic. Copper IUD though an effective contraceptive, is known to increase menstrual bleeding and in many SCAD patients Heavy Menstrual Bleeding (HMB) is a problem due to the aspirin and dual antiplatelet therapy taken. Tubal ligation on the other hand brings with it a permanence and 1 in 200 failure rate, plus SCAD patients are an increased anaesthetic risk.